| NPI | 1487127031 |
|---|---|
| Former Name | TRISTAN GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 903153) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-146825) |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2022-08-25 |